Individual
SAMUEL CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
57 BEAM LN STE 202, FISHERSVILLE, VA 22939-2350
(540) 932-0980
(540) 932-0979
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101268899
VA
Other
Enumeration date
04/04/2017
Last updated
07/30/2021
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